Dick Fitzpatrick

1. Primary Care Emergency Service (PCES) Option Appraisal Open meeting – 7th May 2013 Dick Fitzpatrick

2. Workshop Participants • NHS Fife Clinicians - 3 • NHS Fife Managers/Other - 5 • Public Participants – 5 • Independent Observers(SHC) - 2

3. Option Appraisal Overview

4. Outline of Option Appraisal Process

5. The Role of Option Appraisal • To assess what outcomes will be achieved through changing services and investing/reinvesting money • To assess the potential benefits of different options against common measures • To assess options as objectively as possible • To focus on the ‘ends’ as well as the ‘means’ [SGHD ‘best practice’]

6. Why Hold an Option Appraisal Workshop? • Conduct the decision-making process in an open and transparent manner • Ensure that the views of stakeholders are taken into account in the decision-making process • Enable the stakeholders to engage in the whole benefits appraisal process • Determine the comparative level of benefits delivered by each option

7. Benefit Criteria The Core Elements of the Option Appraisal Benefit Criteria Short listed Options Weight Criteria Rank Criteria Score Options Ranking of Options

8. Example Buying a Car – Factors Influencing Choice (Benefit Criteria) Performance Accessories Dealer Support Price Reliability Safety

9. Benefit Headings & Key Feature Summary

10. Ranking and Weighting the Criteria

11. Background • Some criteria will have a greater bearing on the outcome of the option appraisal than others • Ranking provides a guide to the relative importance of each criterion • Weighting provides an opportunity to quantify the relative importance of each criterion • We need to rank the criteria beforeweighting

12. Final Ranking of Criteria

13. Weighting the Criteria • Weighting of criteria is the opportunity to determine the relative importance of each • Can be a complex exercise butwe used a technique which simplifies the process • We assured results and agreed outcome prior to moving on • Last step in the process ahead of scoring options

14. Weighting

15. Final Rank & Weight of Criteria

16. Appraising the Options

17. Summary of Results

18. Weighted score across all groups for each option

19. Average scores, public scores and NHS Fife Staff scores

20. Workshop Evaluation Feedback • 24 persons attended • 15 persons completed short questionnaire - included 5 members of the public • 100% felt they were provided with the support needed during the option appraisal meeting • 100% felt they had the opportunity to ask questions/for further information • 93% felt their views were listened to during the option appraisal • 100% felt they were made aware of how and when feedback will be received

21. Very Positive Feedback

22. Comments received • Excellent process – clearly explained and well managed. Dick Fitzpatrick was an excellent choice and led the appraisal very well • Well facilitated • Interesting and challenging • This was a very positive experience. Everyone was listened to and their contributions valued. Excellent facilitation made the process flow • Appraisal form should not have been numbered. Too much carbohydrate lunch • I felt the views of the public meeting held in Glenrothes & surrounding areas were not made known during this appraisal • The whole process for service change needs to be reviewed. The process needs to be shortened for smaller services and Boards needs more clarity over Major Service Change vis-à-vis Service Change

23. Learning for the future • Useful to have pre-meeting • Clarity about what constitutes “major change” and “service change” • Being clear about timescales • Healthier lunch!